Organization
MAIN STREET BACK AND NECK, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE YOUNG (CHIROPRACTOR)
(803) 256-1224
Entity
Organization
Contact information
Practice address
2101 MAIN ST STE B, COLUMBIA, SC 29201-2159
(803) 256-1224
(803) 256-1226
Mailing address
2101 MAIN ST STE B, COLUMBIA, SC 29201-2159
(803) 256-1224
(803) 256-1226
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
09/22/2010
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